MedicaidCoverageMedium impact
Newborn Screening Panel
Nebraska Medicaid·NE · Pediatrics, OB-GYN, Family Medicine·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 21, 2026
Summary
Nebraska Medicaid will now cover HCPCS code S3620 (Newborn Metabolic Screening Panel) at $87.65 reimbursement rate for screenings performed outside of inpatient deliveries, with Revvity Omics as the contracted laboratory. Inpatient delivery screenings remain part of DRG payment.
Action Required
By July 1, 2025: Billing team must add HCPCS code S3620 to fee schedule with $87.65 reimbursement rate for Nebraska Medicaid. Update billing system to bill S3620 only for outpatient newborn screenings (not inpatient deliveries). Ensure lab orders are sent to contracted laboratory Revvity Omics for Nebraska Medicaid patients.